Apparatus for medical purposes



A. DE BOROSINI APPARATUS FOR MEDICAL PURPOSES May 8, 1934.

Filed OCT.. 9, 1931 2 Sheets-Sheet l May 8, 1934. A. DE BoRoslNl 1,958,100

APPARATUS FOR MEDICAL PURPOSES Filed 001'.. 9, 1931 2 Sheets-Sheet 2 IIa/entor- Patented May 8, 1934 UNITED STATES PATENT OFFICE Application October 9, 1931, Serial No. 567,956 i In Germany September 15, 1930 4 Claims.

The invention refers in general to improvements in medical appliances and more especially to such as are used for intestinal baths.

One object of the invention consists in making a medical appliance for intestinal treatment with which it is possible to give intestinal baths without a bath tub, (in contrast to the subaqual intestinal baths which are carried out in a bath tub,) by which all odor is practically eliminated.

A further object consists in placing the appliance in such a way that the patient may be in a restful or recumbent position so that no harmful pressure on the orifice of the intestine occurs, and the lavement process and the evacuation following it, ensue Without constraint.

Another object is, to support the anal tube in such a way that it can follow the movements of the rectum i. e., move in any direction, yet cannotbe pushed out; that it causes no unpleasant feeling of pressure or, in sensitive patients, any irritation of the anus.

Still another object of the invention is, to make it possible to watch the evacuation process during the bath, and to give the patient medical attention at thevsame time.

The intestinal bath apparatus according to the invention consists mainly of a reclining chair, having in front a discharge funnel adjustable to the seat, the inlet of which lies on a plane, which with the seat of the reclining chair, forms an obtuse angle, part of which is made tight to the front edge of the seat so that only a part of the rim of the funnel remains free which is then covered by the patients person. Besides this, the apparatus has an anal tube to be inserted in the anus, with tank attached.

The invention is to be further described by means of drawings. I

Figure 1 shows a side view with partial longitudinal section of the apparatus, with the discharge funnel pushed from patients seat.

Figure 2 shows the reclining chair with discharge funnel pushed close up against patients y seat.

(Cl. 12S-227) veniently connected With the seat, and can be swung opposite the latter on fixed pivots 34.

In the underside of the casing jacket, a niche is worked in and the funnel rods 20 have also corresponding notches into which a xed stopnozzle 36, grips, which trough the niches of the hollow casing 20', turns inward (Fig. 4). By the Weight of the funnel the guide bars 20, and with them their hollow casings 20 are pressed downwards over the xed pivot 34 and set against the Xed stop-nozzle 36, thereby securing the funnel cock from longitudinal displacement. When the funnel is raised a little, the carrying rods 20 and hollow casings 20 swing up on the pivots 34, unlatching themselves from the stop-nozzle, and the funnel can be adjusted longitudinally on the carrying rods 20 which are now easily moved in the casings 20.

The funnel 14 is so constructed and placed that its inlet 24 which is wrapped round with soft or elastic material 25, lies on a plane that with the upper surface of the elastic cushion 1, forms an obtuse angle.

The rim of the funnel inlet with its wrapping 25, continues as uninterrupted ring, and the receiving basin 14', projecting from under the seating surface 19, is constructed as an appendage connected with the lower oor of the funnel body and under which the rim of the funnel runs. Under the seating surface 19, a case 19' is provided (Figs. 1 and 2) into which the receiving basin 14' of the funnel is pushed drawerwise, whereby the lower rim of the funnel ts over the Wall of the case closing it tight. When the funnel is once arranged against the cushion seat, the part of the rim lying in an obtuse angle to the cushioned surface and open, is simply and easily covered by the buttocks of the patient lying close against the funnel rim on the reclining chair ready for the intestinal bath. In the funnel itself, at convenient points on the opposite side, Windows 3l are arranged which preferably can be removed or opened for any medical manipulations on the patient. On the outside of the funnel, the openings or Windows 31 are provided on one side with a light 32, on the other side with a spy glass 33, both of which are adjustable. The light throws its rays into the interior of the discharge funnel which the glass opposite is adjusted to catch, so that the proceedings within the funnel may be conveniently watched, not only by the doctor but by the patient also.

In order to secure the right position for the patient and avoid too much pressure on the rim of the funnel, two supports 8 have been arranged on the reclining chair. In or before the funnel opening, borne by two quarter stanchions 29, there is an elastic sinew 3() (helical spring, catgut, rubber band or the like) adjustable to elevation and this sinew forms the supporting bearer for holding the irrigation tube 5, which has been provided with a grip xed on a curved arm 50 for the same, when it has been placed in the oriiice of the intestine. The exibility of sinew gives tube free play so it follows the movements of intestine without being pushed out (Fig. 3).

The thigh supports 8, for determining the recumbent position are fastened to the quarter stanchions 29 that bear the elastic sinew 30 by bridges 28, the latter being so fastened to the seat frame 7, that the funnel rim 25 when placed in position against the cushion l, slips in the connecting bridges 28 and helps to make all tight. The thigh supports 8, accordingly lie inside the funnel opening while the quarter stanchions and' sinew carriers 29 are outside the funnel rim. (Fig. 3.) When the funnel is pushed back, (Figs. l and 4) the thigh supports 8 and the quarter stanchions 29 with the elastic sinew 30 which as has been said, serve to help fasten the irrigation tube 5, remain in position in front of the chair seat 7, 1. Thus the position of the patient is determined and regulated by the supports alone, (Fig. l) and the discharge funnel when pushed against the buttocks, falls into its proper place at once. The right posture for the body is further acquired by the special development and arrangement of leg and foot supports on the reclining chair, which form within the frame of this invention,l a composite plane, 10, 17, squared at the foot. This plane is held by an adjustable swivel bracket 3, on anaxle 3 and is underpinned by an axially movable supporting arm 4 which with the fulcrum of the plane 3', rests in a chuck socket 4, so mounted as to be longitudinally adjusted or held in place on two longitudinal rods 2, which are carried by the framev of the chair seat 7. The leg and foot plane can accordingly be adjusted and held in place on the longitudinal rods 2 in a. horizontal direction and can, besides turning on the pivot 3 when supporting arm-1 is properly adjusted, be set and put yinto the position required. The forward and back adjustment of the discharge funnel 14 which rests on the wire rods 20, is independent of that of the leg and foot prop 10, 1'7, and in no way influences the latter. As the thigh supports 8 and the quarter stanchions 29 with the elastic sinew 30 lie before the chair seat 7, l, thus when the discharge funnel is pushed back the irrigation tube 5 can easily be pushed into the anus in the correct position, and besides other possible fastenings also be connected with the sinew 30, which as already explained forms the support for irrigation tube 5, and ensures its movable position in the rectum.

An inlet tube 37 is connected to the irrigation tube 5 which is fed from a tank 35.

What is claimed is:

1. A reclining chair for the use of a patient during and after intestinal irrigation with a slanting back and a discharge funnel mounted in front 0I" the seat oi" the chair, said discharge funnelwhen in workingy position-tting tightly with one part of the rim of its inlet opening to the front edge of the seat of the chair and lying with the other parts of the inlet opening in an upwardly slanting plane forming an obtuse angle With the seat, and means for supporting the discharge funnel. f

2. A reclining chair for the use of a patient during and after intestinal irrigation with a slanting back and a discharge funnel with a basin-like extension piece on one part of the rim of its inlet opening, said discharge funnel reachingwhen in working position-With said basin-like extension piece underneath the front side of said seat of said reclining chair and with the other parts of the rim of the inlet opening lying in an upwardly slanting plane, which forms an obtuse angle with the seat of the reclining chair, and an adjustable support for the discharge funnel fastened on the reclining chair.

3. A reclining chair forthe use of a patient during and after intestinal irrigation with a slanting'back and a discharge funnel mounted in front o1 the seat of said reclining chair, said discharge funnelwhen in working position-fitting tightly with one part of the rim of its inlet opening to the front side of the seat of said reclining chair and lying with the other parts of the inlet opening in an upwardlyslanting plane forming an obtuse angle with the seat of the reclining chair, supporting means for the discharge funnel, an elastic sinew arranged in front of the inlet opening or said discharge funnel as a holder for an irrigation tube and a supporting xture for said elastic sinew.

4. A reclining chair for the use of a patient during and after intestinal irrigation with a slanting back and a discharge funnel mounted before the seat of the reclining chair, said discharge funnel-when in working position-tting tightly With one part of the rim of its inlet opening tothe front edge of the seat of the chair and with the other parts of the rim of its inlet opening lying in an upwardly slanting plane and forming an obtuse angle with the seat of said chair, two openings lying opposite each other in the wall of said discharge funnel, two windows to close and open the said two openings, an adjustable light in front of one of said two windows and an adjustable mirror before the other of said` two windows of said discharge funnel and supporting means for said discharge funnel.

AUGUST DE BOROSINI. 

